ArticleHealth care management science2010
Explaining the efficiency of local health departments in the U.S.: an exploratory analysis.
Article in Health care management science, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Evaluation on the efficiencies of centers for disease control and prevention in China: results from a 12-year national survey.BMC public health · 2026Article
- Article
- How efficient are specialized public health services in China? A data envelopment analysis and geographically weighted regression approach.Frontiers in public health · 2025Article
- Contribution of the Technical Efficiency of Public Health Programs to National Trends and Regional Disparities in Unintentional Childhood Injury in Japan.Frontiers in public health · 2022Article
- Official Websites of Local Health Centers in Taiwan: A Nationwide Study.International journal of environmental research and public health · 2019Article
- Too Big, Too Small, or Just Right? Cost-Efficiency of Environmental Inspection Services in Connecticut.Health services research · 2017Article
- Does integration of HIV and sexual and reproductive health services improve technical efficiency in Kenya and Swaziland? An application of a two-stage semi parametric approach incorporating quality measures.Social science & medicine (1982) · 2016Article
- Economies of scale in the production of public health services: an analysis of local health districts in Florida.American journal of public health · 2015Article
- Evidence links increases in public health spending to declines in preventable deaths.Health affairs (Project Hope) · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
No study to date has analyzed the efficiency at which local health departments (LHDs) produce public health services. As a result, this study employs data envelopment analysis (DEA) to explore the relative technical efficiency of LHDs operating in the United States using 2005 data. The DEA indicates that the typical LHD operates with about 28% inefficiency although inefficiency runs as high as 69% for some LHDs. Multiple regression analysis reveals that more centralized and urban LHDs are less efficient at producing local public health services. The findings also suggest that efficiency is higher for LHDs that produce a greater variety of services internally and rely more on internal funding. However, because this is the first study of LHD efficiency and some shortcomings exist with the available data, we are reluctant to draw strong policy conclusions from the analysis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.